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Environmental Health Department <br />11. <br />OR <br />13. <br />14.Completed by:£ <br />11Health Permit <br />Paper Hand Towels <br />Soap dispenser <br />Cutting Board 1Propane Stove Bleach <br />Propane Tank <br />Bleach and WalerRmse Water <br />Fire Extinguisherfl <br />Ice Cooler <br />TEMP EVENT APPPage 8 of 11 <br />Sterno w/Chaffing <br />Dish <br />Extra <br />Waler <br />5 Gal Hand wash <br />Wastewater Container <br />Sanitizer bucket­ <br />bleach & water for <br />Storing wiping cloths <br />5-20 Gal. <br />Hand wash Water <br />At <br />Title <br />Exira Ice Bags & Food Containers must be <br />stored 6 inches off of the ground! <br />•j <br />I <br />I <br />?:■ <br />’"‘Important <br />Garbage <br />Can <br />1868 E Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/ehd <br />EHD 16-02 <br />06/19/19 <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, or a Tarp. <br />U® Three deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br />J.Solution (one tablespoon of bleach per gallon of water). <br />W® Detergent, bleach, and wiping cloths (cleaning towels). <br />y E Tub to Store wiping cloths in bleach solution. <br />12" bootti-PrOVidin9 the foll°Win9 f°r ade9ua,e hand ashing facilities, but separate from utensil wash within my <br />y kwater supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container with spigot). <br />jfOne separate tub (bucket or basin) for the collection of rinse/wastewater. <br />^’aper towels and pump-style soap container. <br />b^qS^n^°oth dur'ng al1 h°urs °f operation: <br />All food vendor booths are subject to inspection. Please make a copy of this application in <br />preparation for this event. A copy of this checklist must be in the booth at all hours of <br />preparation and operation. Return original to festival coordinator three weeks prior to <br />this event. <br />09 (29 12023 <br />Date <br />] <br />SANJOAOUIN <br />COUNTY <br />Greotn«$ grows here. <br />entially hazardous foods below <br />O Ice chests □Retrtgerator JjA. I , J <br />nRethgerstedhuck □ ,ce hath end tubs Al , — <br />potherjhMTtfg <br />lffi^m^eSnk.temS lhe s8ni,ary d8anln9 o'food P"™*" uensll <br />10.